Dear Honest Midwife,

Thank you so much for willing to be honest and give up your entire livelihood and community to do so. I have struggled with the truth about home birth for years, and I realized it was like a religion to me. I knew all the "correct" answers to give to explain away problems with homebirthing. Within my small circle of friends, I learned of many scary situations and complications that happened during home births. I was careful to "support" the homebirthing community by not trumpeting these experiences loudly, but over time I realized that it just wasn't nearly as safe as we'd all believed. 

I was sad to lose my "faith" in homebirth, but I didn't really have to face it, because I wasn't having any babies. Well, I am now pregnant again! What do I do now? I've had 2 homebirths. How do I go back to the hospital?

I know that during a hospital birth the CNM or doctor is not there with you in the room much. How can that be better than homebirth, where the midwife is there the whole time? Granted, I've looked back at my homebirth records, and I was only monitored with a doppler ultrasound 4-5 times during my very long pushing phase. 

I'm guessing I'd prefer not to have all the typical interventions that might make a hospital safer, like a continuous IV, continuous monitoring, and so on. If I don't do those, what's better about hospital birth? How can homebirthers emotionally/spiritually go back to hospital birth?

Thank you!
Krista

You hit the nail on the head with your thoughts about the lack of monitoring at home birth. Just having someone in the room with you isn’t adequate monitoring for the baby. 4-5 times listening during a long pushing phase sounds incredibly dangerous. In a hospital, they don’t need to be in your room at all times in order to be giving safer care. They can even do intermittent monitoring (for example, a continuous strip for 20 minutes out of each hour, and off the monitor for 40 minutes) and ensure safety while not sitting in your room the whole time.

My overall impression reading your comment was that you are still nursing some fear regarding hospitals. That fear was placed there intentionally by people who were proselytizing to you, who were themselves deceived. You know that facts are facts, and that having a living and undamaged baby is vastly more important than all the beautiful lies that we homebirth moms all told each other. You have woken up in time to do what’s best for this baby. It won’t be easy for you, and will require some surrender. This time, surrender to what you know is best and safest, instead of the fear. 

Best wishes to you for a safe and healthy pregnancy and birth!

Love,

Honest Midwife